Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G12928 | CA |
N | 207VE0102X | Reproductive Endocrinologist | G12928 | CA |
N | 207VG0400X | Gynecologist | G12928 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G12928 | CA |
N | 207VX0000X | Obstetrician | G12928 | CA |
N | 207VX0201X | Gynecologic Oncologist | G12928 | CA |
NPI | 1033251889 |
---|---|
Provider Name | Dr. Joseph Klerer |
First Address | Los Angeles, CA 90006-2802 |
Second Address | Los Angeles, CA 90006-2802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 29/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G12928 | MEDICAL LICENSE (01) | CA |
GR0051990 | (05) | CA |
GR0051991 | (05) | CA |
GR0051992 | (05) | CA |